| NPI | 1407109457 |
|---|---|
| Doing Business As | KEYSTONE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KING Chief Clinical Officer 601-707-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 11702) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-07-24 |